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Medical and Research Library News - August 2019

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Training opportunities
Websites and reports on trending topics*
Journal articles of note*
New e-books at the MRL*

August 2019

mrl-diamondTraining opportunities

Note: The following webinars and online classes are not affiliated with DSHS or the DSHS Library. They are presented here as opportunities to learn more information of interest to public health personnel. All times listed are in Central Daylight Time.

August 5, 2019; 11 a.m.–12 p.m. The Practical Playbook II: Building Multisector Partnerships That Work. The deBeaumont Foundation, with Duke Family Medicine & Community Health and the Centers for Disease Control and Prevention (CDC), released this playbook to help multi-sector partners improve population health. Join this webinar to learn about tools and methods that can be used by a variety of groups, in a variety of settings, and for a variety of issues as coalitions work together to improve health. It is intended to be a playbook not of best practices, but of better practices that can be adapted and shaped to build on local strengths and respond to local needs. https://gallery.mailchimp.com/ab74d126b7d2db12591de5c2c/files/dd72135c-1a42-4098-a7f5-ffb2ac7ab278/de_Beaumont_webinar.pdf

August 7, 2019; 1–2:30 p.m. Demonstrating the Impact of Supportive Housing. Centers for Medicare and Medicaid Services (CMS) Medicaid Innovation Accelerator Program (IAP) is hosting a national learning webinar on the topic of Demonstrating the Impact of Supportive Housing. During this webinar, a framework and measures to demonstrate the impact of supportive housing will be presented. The webinar includes a discussion on the benefits of undertaking this type of work, as well as specific measures used across the country to assess the impact that providing supportive housing can have on health care utilization costs, homelessness, criminal justice, and other systems. https://cc.readytalk.com/registration/#/?meeting=jyz7zjj6tqy6&campaign=nb59suarbpr9

August 8, 2019; 12–1 p.m. Opioid Overdoses and Suicides - Two Overlapping Public Health Crises. In this webinar, researchers will describe the context of the opioid crisis, identify links between opioid-related overdoses and suicides, and learn about how integrated screening and follow-up for depression, suicidal behavior, and substance use in primary care can help to identify opportunities for prevention. Presented by the Prevention Technology Transfer Center Network (PTCC). https://pttcnetwork.org/centers/central-east-pttc/opioid-overdoses-and-suicides-two-overlapping-public-health-crises

August 13, 2019; 12–1 p.m. Motivational Interviewing for Smoking Cessation Webinar Series: Part 1. This session will explore how this evidence-based communication style can increase capacity to effectively engage people in their own care and make changes to support their health. You will develop a few of the necessary skills to access motivation and strengthen commitment to change.  This session will introduce fundamental concepts and will offer opportunities to improve your communication no matter your current skill level. Presented by the Prevention Technology Transfer Center Network (PTCC). https://pttcnetwork.org/centers/great-lakes-pttc/motivational-interviewing-smoking-cessation-part-1

August 14, 2019; 10-11 a.m. Fostering Resilience in Older Adults. Resilience, the process of adapting well in the face of significant sources of distress, plays an increasingly important role in successful aging. Learn more about ways aging network providers and community partners can support older adults in problem solving, preparing for challenges, and cultivating this essential component for well-being across the lifespan. Presented by the National Network of Libraries of Medicine (NNLM). https://nnlm.gov/scr/training/connections

August 20, 2019; 12–1 p.m. HIV and Oral Health: An Update and Refocus. This webinar will discuss oral health for patients with HIV. The dental team has been an important part of HIV primary care since the early days of the epidemic when up to 80% of all HIV+ patients would present with an oral manifestation related to disease progression. Recognition of the oral manifestations of HIV infection is important tools in accessing a patient’s overall well-being as they are important indicators of disease progression for those known to be HIV positive and may provide a means of accessing the potential status of those at risk for HIV infection. This presentation will enable the participants to accurately diagnose and manage the most common oral opportunistic infections seen in association with HIV disease. This presentation will also cover how to manage exposure in the dental setting. https://register.gotowebinar.com/register/6472564768048875533

August 29, 2019; 12:30-2 p.m. The Intersection of Cultural Competence, Trauma-Informed Care and Behavioral Health: Addressing Adverse Childhood Experiences in Urban Communities. Emphasizing clinical and community-based models, the webinar will highlight practical strategies that may be used to address (ACES) and trauma in children, youth and families while advancing health equity in systems. Sponsored by Substance Abuse and Mental Health Services Administration (SAMHSA). https://events-na11.adobeconnect.com/content/connect/c1/1120832267/en/events/event/shared/1159765005/event_landing.html?sco-id=1985921854

mrl-diamondWebsites and reports on trending topics*

City Health Dashboard - Racial segregation has been associated with lower life expectancy. A new analysis using the City Health Dashboard shows that, overall, cities with higher levels of racial residential segregation have disturbingly large gaps in life expectancy—up to 30 years. From NYU Langone Health. https://www.cityhealthdashboard.com/

Deaths: Leading Causes for 2017 – This report presents final 2017 data on the 10 leading causes of death in the United States by age, sex, race, and Hispanic origin. From the National Center for Health Statistics. https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_06-508.pdf

Grant Writing: How to Build Credibility with Your Budget Narrative - Need statements, program narratives, and discussions of impact aren’t the only parts of a federal grant application that require the touch of a good writer. The budget narrative – sometimes called the budget justification or budget detail – can also benefit from a skilled wordsmith. This website from Grants.gov provides budget narrative writing tips that have been curated from a wide range of federal agency resources. https://blog.grants.gov/2019/07/09/grant-writing-how-to-build-credibility-with-your-budget-narrative/

Opioid Use Decreased in Medicare Part D, While Medication-Assisted Treatment Increased - Nearly 3 in 10 Medicare Part D beneficiaries received opioids in 2018, a significant decrease from the previous 2 years. At the same time, the number of beneficiaries receiving drugs for medication-assisted treatment for opioid use disorder has steadily increased and reached 174,000 in 2018. From the Office of Inspector General (OIG), HHS. https://oig.hhs.gov/oei/reports/oei-02-19-00390.asp

Our Homes Are Key To Our Health - Millions of families in America are struggling to keep a roof over their heads - and it’s taking a toll on their health. In a culture of health, everyone has an opportunity to reside in an affordable, safe, stable home and a neighborhood that fosters well-being. That’s why, in this Annual Message, the Robert Wood Johnson Foundation is highlighting housing as one key factor of thriving communities. The data and stories within are just a few examples of how housing is linked to health and equity.  https://www.rwjf.org/en/library/annual-reports/2019-annual-message.html?rid=0034400001rmMHoAAM&et_cid=1771680

Successful Approaches to Reduce Sodium in School Meals Study - This study was designed to provide information on (1) the market availability of foods that meet the sodium standards for school meal programs set by regulation in 2012, (2) the strategies most often used by schools that have met the sodium targets, and (3) the technical assistance needs of schools and districts working to develop lower sodium menus. From Food and Nutrition Service, USDA. https://www.fns.usda.gov/nslp/successful-approaches-reduce-sodium-school-meals-study

mrl-diamondJournal articles of note*

Anstey EH, Chen J, Elam-Evans LD, Perrine CG. Racial and geographic differences in breastfeeding - United States, 2011-2015. MMWR Morb Mortal Wkly Rep. 2017 Jul 14;66(27):723-727. doi: 10.15585/mmwr.mm6627a3.
Breastfeeding provides numerous health benefits for infants and mothers alike. The American Academy of Pediatrics recommends exclusive breastfeeding for approximately the first 6 months of life and continued breastfeeding with complementary foods through at least the first year (1). National estimates indicate substantial differences between non-Hispanic black (black) and non-Hispanic white (white) infants across breastfeeding indicators in the United States (2). CDC analyzed 2011-2015 National Immunization Survey (NIS) data for children born during 2010-2013 to describe breastfeeding initiation, exclusivity through 6 months and duration at 12 months among black and white infants. Among the 34 states (including the District of Columbia [DC]) with sufficient sample size (≥50 per group), initiation rates were significantly (p<0.05) lower among black infants than white infants in 23 states; in 14 of these states (primarily in the South and Midwest), the difference was at least 15 percentage points. A significant difference of at least 10 percentage points was identified in exclusive breastfeeding through 6 months in 12 states and in breastfeeding at 12 months in 22 states. Despite overall increases in breastfeeding rates for black and white infants over the last decade, racial disparities persist. Interventions specifically addressing barriers to breastfeeding for black women are needed.

Feinberg A, Seidl L, Dannefer R, et al. A cohort review approach evaluating community health worker programs in New York City, 2015-2017. Prev Chronic Dis. 2019 Jul 11;16:E88. doi: 10.5888/pcd16.180623.
The objective of this study was to describe how a cohort review approach was applied as an evaluation framework for a community health worker intervention among adult residents in 5 public housing developments in New York City in 2015-2017. The cohort review approach involved systematically monitoring participants engaged in the Harlem Health Advocacy Partners program during a given time period ("cohort") to assess individual outcomes and program performance. We monitored participation status (completed, still active, disengaged, on leave, or died) and health outcomes. In this example of a cohort review, levels of enrollment and program disengagement were higher in cohort 1 than in cohort 2. For 6-month health outcomes, the percentage of participants with hypertension who had controlled blood pressure was static in cohort 1 and improved significantly in cohort 2. The percentage of participants with diabetes who self-reported controlled hemoglobin A1c increased significantly in cohort 1 at 6-month follow-up. The cohort approach highlighted important outcome successes and identified workload challenges affecting recruitment and retention.

Hamad R, Collin DF, Baer RJ, Jelliffe-Pawlowski LL. Association of revised WIC food package with perinatal and birth outcomes: a quasi-experimental study. JAMA Pediatr. 2019 Jul 1. doi: 10.1001/jamapediatrics.2019.1706. [Epub ahead of print]
IMPORTANCE: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) serves more than one-quarter of pregnant and postpartum women. In October 2009, the WIC food package underwent revisions to improve nutritional content. No studies have investigated the downstream effects of this revision on maternal and infant health.
OBJECTIVE: To investigate whether the revised WIC food package improved perinatal and birth outcomes among recipients.
DESIGN, SETTING, AND PARTICIPANTS: We conducted a quasi-experimental difference-in-differences analysis, comparing WIC recipients (the treatment group) before and after the package revisions while accounting for temporal trends among nonrecipients (the control group). Multivariable linear regressions were adjusted for sociodemographic covariates. This study was conducted using linked birth certificate and hospital discharge data from California from January 2007 to December 2012. Analysis began July 2018.
EXPOSURES: Whether pregnant women received the revised WIC package, which included more whole grains, fruit, vegetables, and low-fat milk.
MAIN OUTCOMES AND MEASURES: Measures of maternal and infant health, including maternal preeclampsia, gestational diabetes, and gestational weight gain as well as infant gestational age, birth weight, and hospitalizations.
RESULTS: The sample included 2,897,537 infants born to 2,441,658 mothers. WIC recipients were more likely to be Hispanic, less educated, of greater parity, and younger than nonrecipients. The revised WIC food package was associated with reductions in maternal preeclampsia (-0.6% points; 95% CI, -0.8 to -0.4) and more than recommended gestational weight gain (-3.2% points; 95% CI, -3.6 to -2.7), increased likelihood of as recommended (2.3% points; 95% CI, 1.8 to 2.8) and less than recommended (0.9% points; 95% CI, 0.5 to 1.2) gestational weight gain, and longer gestational age (0.2 weeks; 95% CI, 0.001 to 0.034). Among infants, an increased likelihood of birth weight that was appropriate for gestational age was observed (0.9% points; 95% CI, 0.5 to 1.3). Although birth weight itself was reduced (-0.009 SDs; 95% CI, -0.016 to -0.001), this was accompanied by reductions in small for gestational age (-0.4% points; 95% CI, -0.7 to -0.1), large for gestational age (-0.5% points; 95% CI, -0.8 to -0.2), and low-birth-weight infants (-0.2% points; 95% CI, -0.4 to 0.004), suggesting that the revised food package improved distributions of birth weight.
CONCLUSIONS AND RELEVANCE: The revised WIC food package, intended to improve women's nutrition during pregnancy, was associated with beneficial impacts on maternal and child health. This suggests that WIC policy may be an important lever to reduce health disparities among high-risk women and children at a critical juncture in the life course.

Marcinkevage J, Auvinen A, Nambuthiri S. Washington state's fruit and vegetable prescription program: improving affordability of healthy foods for low-income patients.  Prev Chronic Dis. 2019 Jul 18;16. doi: 10.5888/pcd16.180617.
PURPOSE AND OBJECTIVES: We conducted a mixed-methods process and outcome evaluation for a statewide fruit and vegetable prescription program. The process evaluation assessed program implementation, identified opportunities for quality improvement, and provided recommendations for future programmatic activities. The outcome evaluation measured how the program affected purchases of fruits and vegetables among low-income patients and patient satisfaction with the program.
INTERVENTION APPROACH: The Washington State Department of Health (WA DOH) partnered with public and private health care systems, public health agencies, a community-based organization, and a supermarket chain to launch a fruit and vegetable prescription program in 2016. The prescription was a $10 voucher redeemable for fruits and vegetables at any one of 169 participating supermarkets. Prescriptions were distributed to eligible low-income patients in clinics and community settings.
EVALUATION METHODS: WA DOH reviewed quarterly reports, meeting minutes and notes, telephone call logs, and email logs to solicit feedback on program implementation processes. We calculated overall prescription redemption rates on the basis of the number of prescriptions distributed by implementing partners and the number of prescriptions redeemed at participating supermarkets. We assessed patient satisfaction through a web-based survey. The study period was July 1, 2016, through June 30, 2018.
RESULTS: Best practices for implementation included using the prescription to improve patient engagement and retention and connect patients to additional services, and working in the community to enhance program support and uptake. Overall, $154,810 in fruit and vegetable prescriptions were redeemed during the study period (54.4% redemption rate). Most survey respondents (88.2%) reported eating more fruits and vegetables than previously as a result of the prescription.
IMPLICATIONS FOR PUBLIC HEALTH: Fruit and vegetable prescriptions are an effective way to increase affordability of healthy foods for low-income patients. These programs are scalable and translatable across various types of patient-provider encounters.

Poh KC, Chaves LF, Reyna-Nava M, et al. The influence of weather and weather variability on mosquito abundance and infection with West Nile virus in Harris County, Texas, USA. Sci Total Environ. 2019 Jul 20;675:260-272. doi: 10.1016/j.scitotenv.2019.04.109.
Early warning systems for vector-borne diseases (VBDs) prediction are an ecological application where data from the interface of several environmental components can be used to predict future VBD transmission. In general, models for early warning systems only consider average environmental conditions ignoring variation in weather variables, despite the prediction from Schmalhausen's law about the importance of environmental variability for biological systems. We present results from a long-term mosquito surveillance program from Harris County, Texas, USA, where we use time series analysis techniques to study the abundance and West Nile virus (WNV) infection patterns in the local primary vector, Culex quinquefasciatus Say. We found that, as predicted by Schmalhausen's law, mosquito abundance was associated with the standard deviation and kurtosis of environmental variables. By contrast, WNV infection rates were associated with 8-month lagged temperature, suggesting environmental conditions during overwintering might be key for WNV amplification during summer outbreaks. Finally, model validation showed that seasonal autoregressive models successfully predicted mosquito WNV infection rates up to 2 months ahead, but did rather poorly at predicting mosquito abundance, a result that might reflect impacts of vector control for mosquito population reduction, geographic scale, and other artifacts generated by operational constraints of mosquito surveillance systems.

Zimmerman FJ, Anderson NW. Trends in health equity in the United States by race/ethnicity, sex, and income, 1993-2017. JAMA Netw Open. 2019 Jun5; 2(6):e196386. doi: 10.1001/jamanetworkopen.2019.6386.
IMPORTANCE: Health equity is an often-cited goal of public health, included among the 4 overarching goals of the Department of Health and Human Services' Healthy People 2020. Yet it is difficult to find summary assessments of national progress toward this goal.
OBJECTIVES: To identify variation in several measures of health equity from 1993 to 2017 in the United States and to test whether there are significant time trends.
DESIGN, SETTING, AND PARTICIPANTS: Survey study using 25 years of data, from January 1, 1993, to December 31, 2017, from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System to assess trends in health equity and health justice by race/ethnicity, sex, and income in 3 categories by year.
MAIN OUTCOMES AND MEASURES: Health equity was assessed separately for each of 2 health constructs: healthy days-the average of physical and mental healthy days over the previous 30 days-and general health in 5 categories, rescaled to approximate a continuous variable. For each health construct, average health was calculated along with 4 measures of health equity: disparities across 3 income groups; black-white disparities; health justice - a measure of the correlation of health outcomes with income, race/ethnicity and sex; and a summary health equity metric.
RESULTS: Among the 5,456,006 respondents, the mean (SD) age was 44.5 (12.7) years; 3,178,688 (58.3%) were female; 4,163,945 (76.3%) were non-Latinx white; 474,855 (8.7%) were non-Latinx black; 419,542 (7.7%) were Latinx; and 397,664 (7.3%) were of other race/ethnicity. The final sample included 5,456,006 respondents for self-reported health and 5,349,527 respondents for healthy days. During the 25-year period, the black-white gap showed significant improvement (year coefficient: healthy days, 0.021; 97.5% CI, 0.012 to 0.029; P < .001; self-reported health, 0.030; 97.5% CI, 0.025 to 0.035; P < .001). The health equity metric for self-reported health showed no significant trend. For healthy days, the Health Equity Metric declined over time (year coefficient: healthy days, -0.025; 97.5% CI, -0.033 to -0.017; P < .001). Health justice declined over time (year coefficient: healthy days, -0.045; 97.5% CI, -0.053 to -0.038; P < .001; self-reported health, -0.035; 97.5% CI, -0.046 to-0.023; P < .001), and income disparities worsened (year coefficient: healthy days, -0.060; 97.5% CI, -0.076 to -0.044; P < .001; self-reported health, -0.029; 97.5% CI, -0.046 to -0.012; P < .001).
CONCLUSIONS AND RELEVANCE: Results of this analysis suggest that there has been a clear lack of progress on health equity during the past 25 years in the United States. Achieving widely shared goals of improving health equity will require greater effort from public health policy makers, along with their partners in medicine and the sectors that contribute to the social determinants of health.

mrl-diamondNew print books at the MRL*

1. Dare to lead : brave work, tough conversations, whole hearts by Brené Brown.
2. Designing quality survey questions by Sheila B. Robinson.
3. Eloquent JavaScript : a modern introduction to programming by Marijn Haverbeke.
4. Focus groups : a practical guide for applied research by Richard A. Krueger.
5. Practical solutions to practically every problem : the survival guide for early childhood professionals by Steffen Saifer.
6. Practical SQL : a beginner's guide to storytelling with data by Anthony DeBarros.
7. Public health 101 : improving community health by Richard K. Riegelman.
8. What the eyes don't see : a story of crisis, resistance, and hope in an American city by Mona Hanna-Attisha.

*Employees may email the Medical and Research Library at library@dshs.texas.gov, call 512-776-7559, or visit Moreton Building, 1100 W. 49th St., Room M-652, Austin, TX, 78756 to borrow library materials, receive research assistance, learn to access electronic materials, or to obtain full-text of the articles mentioned in this month's news. If you are not located on the main campus in Austin, simply let us know what you would like to borrow, and we will mail it to you.

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Last updated August 5, 2019